纽约州儿科初级保健医生对心理健康问题的检测与治疗：TEACH项目评估
Detection and treatment of mental health issues by pediatric PCPs in New York State: an evaluation of Project TEACH.
作者信息
Kerker Bonnie D, Chor Ka Ho Brian, Hoagwood Kimberly E, Radigan Marleen, Perkins Matthew B, Setias Jade, Wang Rui, Olin S Serene, Horwitz Sarah M
机构信息
Dr. Kerker, Dr. Hoagwood, Dr. Olin, and Dr. Horwitz are with the Department of Child and Adolescent Psychiatry, New York University School of Medicine, New York City (e-mail:
出版信息
Psychiatr Serv. 2015 Apr 1;66(4):430-3. doi: 10.1176/appi.ps.201400079. Epub 2014 Dec 15.
OBJECTIVE
The authors evaluated Project TEACH (PT), a statewide training and consultation program for pediatric primary care providers (PCPs) on identification and treatment of mental health conditions.
METHODS
An intervention group of 176 PCPs who volunteered for PT training was compared with a stratified random sample of 200 PCPs who did not receive PT training. Data on prescription practices, diagnoses, and follow-up care were from New York State Medicaid files (2009-2013) for youths seen by the trained (N=21,784) and untrained (N=46,607) PCPs.
RESULTS
The percentage of children prescribed psychotropic medication increased after PT training (9% to 12%, p<.001), a larger increase than in the untrained group (4% to 5%, p<.001) (comparison, p<.001). Fewer differences were noted in diagnoses and in medication use and follow-up care among children with depression.
CONCLUSIONS
This intervention may have an impact on providers' behaviors, but further research is needed to clarify its effectiveness.
目的
作者评估了“教师计划”（PT），这是一项面向儿科初级保健提供者（PCP）的关于心理健康状况识别与治疗的全州范围培训及咨询项目。
方法
将176名自愿参加PT培训的PCP组成的干预组与200名未接受PT培训的PCP分层随机样本进行比较。关于处方行为、诊断和后续护理的数据来自纽约州医疗补助档案（2009 - 2013年），涉及接受培训的PCP（N = 21,784）和未接受培训的PCP（N = 46,607）所诊治的青少年。
结果
PT培训后开具精神类药物处方的儿童比例有所增加（从9%增至12%，p <.001），增幅大于未培训组（从4%增至5%，p <.001）（比较，p <.001）。在抑郁症儿童的诊断、药物使用及后续护理方面差异较小。
结论
该干预可能会对提供者的行为产生影响，但需要进一步研究以阐明其有效性。
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